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Note: *Stand-alone Medicare Prescription Drug Plans (PDP)s only. Data for MA-PD plans not included. Sanctioned plans are included in this data. . **The plan premium weighted averages are calculated by multiplying the plan premium by the number of enrollees in the plan to give more "weight" to plans with more members.
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2019 Premium Changes for Persons Staying in their 2018 Plan |
Premium Change Range | Total number of Plans in this Change Range |
$-26 to $-22 | * -- total: 1 plan |
$-21 to $-17 | 0 plans |
$-16 to $-12 | 0 plans |
$-11 to $-7 | * * -- total: 2 plans |
$-6 to $-2 | * -- total: 1 plan |
$-1 to $3 | * * * * * * * * * -- total: 9 plans |
$4 to $8 | * * * * * * * * * -- total: 9 plans |
$9 to $13 | * -- total: 1 plan |
$14 to $18 | 0 plans | |
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Details for the Min. and Max. Premium Plans in 2019 |
H/L | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
Low | PA WV | EnvisionRxPlus (PDP) | $14.50 | $325.00 | No Gap Coverage | Basic |
High | PA WV | Blue Rx PDP Complete (PDP) | $156.00 | $0.00 | Yes | Enhanced | |
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The chart above shows the details of the least expensive and most |
expensive plans available for 2019.
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Min. and Max. Premium Plans in 2018 and how the plan changes in 2019 |
H/L | Year | State | Plan Name | Prem. | Ded. | Gap Coverage | Benefit Type |
Low | 2018 | PA WV | EnvisionRxPlus (PDP) | $12.60 | $300.00 | No Gap Coverage | Basic |
| 2019 | PA WV | EnvisionRxPlus (PDP) | $14.50 | $325.00 | No Gap Coverage | Basic |
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High | 2018 | PA WV | Blue Rx PDP Complete (PDP) | $157.80 | $0.00 | Yes | Enhanced |
| 2019 | PA WV | Blue Rx PDP Complete (PDP) | $156.00 | $0.00 | Yes | Enhanced | |
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The chart above details the least (and most) expensive plan in 2018 and |
plan features and costs should you stay in the same plan in 2019.
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Gap Coverage Types and Minimum Premium for 2019 Part D Plans |
2019 Gap Coverage Details |
Gap Coverage Type | Number of Plans | Minimum Premium |
No Gap Coverage | 24 | $14.50 |
Yes | 6 | $17.20 |
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2018 Gap Coverage Details |
Gap Coverage Type | Number of Plans | Minimum Premium |
No Gap Coverage | 18 | $12.60 |
Yes | 8 | $17.70 |
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Notes: Click the Gap Coverage Type above to see plan details for 2019 Pennsylvania plans. |
Gap coverage applies to formulary drugs only. The Healthcare Reform provides that for Plan Year 2019, ALL formulary generics will have at least a 63% discount and ALL brand drugs will have at least a 75% discount in the coverage gap. The Gap Coverage discussed in this section is in addition to the Healthcare Reform mandated discounts.
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2019 Pennsylvania $0 Premium LIS Qualified Part D Plans |
2019 LIS Qualifying Plans |
Plan Name | Plan ID |
AARP MedicareRx Saver Plus (PDP) | S5921-351 |
Aetna Medicare Rx Saver (PDP) | S5810-040 |
Basic Blue Rx Standard (PDP) | S6986-003 |
Cigna-HealthSpring Rx Secure (PDP) | S5617-215 |
EnvisionRxPlus (PDP) | S7694-006 |
Express Scripts Medicare - Value (PDP) | S5660-108 |
Humana Preferred Rx Plan (PDP) | S5884-104 |
SilverScript Choice (PDP) | S5601-012 |
WellCare Classic (PDP) | S4802-080 |
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2018 LIS Qualifying Plans |
Plan Name | Plan ID |
Aetna Medicare Rx Saver (PDP) | S5810-040 |
Basic Blue Rx (PDP) | S6986-003 |
Cigna-HealthSpring Rx Secure (PDP) | S5617-215 |
EnvisionRxPlus (PDP) | S7694-006 |
Express Scripts Medicare - Value (PDP) | S5660-108 |
Humana Preferred Rx Plan (PDP) | S5884-104 |
SilverScript Choice (PDP) | S5601-012 |
Symphonix Value Rx (PDP) | S0522-078 |
WellCare Classic (PDP) | S4802-080 |
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Note: Click heading above to see details of LIS qualifying plans in Pennsylvania.
Please note, not all plans are available in every state.
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List of National PDP Providers with Plans available in Pennsylvania |
2019 National PDP Providers |
Aetna Medicare |
Cigna-HealthSpring Rx |
EnvisionRx Plus |
Express Scripts Medicare |
Humana |
SilverScript |
UnitedHealthcare |
WellCare |
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2018 National PDP Providers |
Aetna Medicare |
Cigna-HealthSpring Rx |
EnvisionRx Plus |
Express Scripts Medicare |
First Health Part D |
Humana Insurance Company |
SilverScript |
UnitedHealthcare |
WellCare |
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Note: Click heading above to see PDP plans and details for Pennsylvania.
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